Louisiana
Board of Licensing
BERRY DAWN WALLER
Medical
License number
OTT.Z11372
Date expires
08/31/2015
Class
Medical
Status
Active
Address
8923 Bluebonnet Blvd., Baton Rouge, LA 70810
louisianalicensing.com
ID 21987861
LAST UPDATED 2024-04-13 21:10:50 UTC
LAST UPDATED 2024-04-13 21:10:50 UTC